Y15D - Request for Formula Approval
A link to the Portable Document Format (PDF) of this form is provided below. The content of the form is duplicated in HTML following the PDF link.
Please refer to Excise Duty Memorandum EDM1-1-6, Formulation Approval Process, for more information.
Licensee Information
- Company name
- Licence No.
- Business No.
- Address
- Contact
- Phone
- Fax
Regional Excise Duty Office Information
- Excise Officer
- Address
- Region
- Phone
- Fax
Approval request information
- Formula Names
- Sample
Note
- Minimum sample volume is 60 ml.
- A sample is not required for gels, powders, sprays, creams, homeopathic products or food.
Data Sheet
- Formula Name
- Final Packaging Size (g/kg/ml/L)
- Total Alcohol % by vol. or mass (please specify)
- Batch size
- Density or specific gravity (please specify)
- Formula number to be replaced (if applicable)
- Type of Approval Requested
- Planned Use (Sale/Internal/Export/etc.)
- Ingredients
- % alcohol (please specify vol. or mass)
- Quantity (please specify g/kg/ml/L)
- Summary of Production Guide (ex : blend all ingredients, loss of alcohol, etc.)
Important
- Please note that all fields are mandatory and that an incomplete request may be rejected. Write N/A if the information is not available.
- Fill and print a separate data sheet for each formula.
- Date modified: